Brief Summary

The purpose of this study is to test whether transcranial magnetic stimulation, or TMS, is an acceptable and helpful treatment for ongoing symptoms of posttraumatic stress syndrome disorder (PTSD) in 12-20 year olds. Ongoing PTSD refers to symptoms that continue after completing trauma-focused psychotherapy. About 1 in 4 patients need additional help to overcome PTSD after completing psychotherapy. Currently, scientists do not know the best way to help adolescents with persistent PTSD, and this study will test TMS as a possible treatment, and hopefully lead to future studies including more people.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
16mo left

Started May 2026

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 3, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 10, 2026

Completed
3 months until next milestone

Study Start

First participant enrolled

May 9, 2026

Expected
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2027

3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2027

Last Updated

May 6, 2026

Status Verified

February 1, 2026

Enrollment Period

1.1 years

First QC Date

February 3, 2026

Last Update Submit

May 4, 2026

Conditions

Keywords

Transcranial Magnetic StimulationTranscranial Magnetic Stimulation (TMS)

Outcome Measures

Primary Outcomes (3)

  • Side Effects of TMS treatment

    number of side effects reported per participant

    Day 1 of treatment through Day 30

  • Number of Adverse Events

    Number of adverse events experienced by study participants through the treatment phase of the study

    Day 1 of treatment through Day 30

  • Completion rate of Treatment

    Number of participants that completed the TMS treatment

    Day 1 of treatment through Day 30

Secondary Outcomes (2)

  • Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5)(CAPS-5)

    Baseline to 90 days

  • Assessment of Depression using Patient Health Questionnaire-9 (PHQ-9)

    Baseline to Day 30

Study Arms (1)

TMS treatment group

EXPERIMENTAL

Each treatment visit will take about 1.5 hours. Participants will receive up to 4 TMS treatment sessions during the visit, with each session lasting about 10-minutes. After the TMS sessions, there will be a brief visit with a psychotherapist.

Device: MagPro R30 with robotic arm

Interventions

TMS will be delivered to the right anterior dorsolateral frontal cortex. The accelerated protocol consists of 1,800 TMS pulses per session, delivered at intensity ranges designed to deliver depth-corrected E-fields of 80-95 volts/meter. The exact intensity will be determined when the participant's treatment plan is developed. Once a patient's TMS treatment plan has been created, it will be used for every treatment session for that participant.

TMS treatment group

Eligibility Criteria

Age12 Years - 20 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Males and females; Age 12-20
  • Have previously completed at least 9 sessions of trauma-focused therapy in our clinical trial or in the community
  • Have current self-reported symptom score of 20 or greater on the UCLA PTSD Reaction index
  • Willing to attend 10 TMS treatment sessions within a 30-day period
  • Fluent in English

You may not qualify if:

  • History of seizures
  • History of head injury with loss of consciousness and concussive sequelae
  • Brain abnormality such as tumor or other observable abnormality
  • Currently receiving psychotherapy or TMS treatment
  • Currently pregnant
  • MRI contraindications (metal in body, orthodontic braces)
  • Diagnosis of bipolar 1 or a psychotic disorder

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UT Health Department of Psychiatry

San Antonio, Texas, 78229, United States

RECRUITING

MeSH Terms

Conditions

Stress Disorders, Post-Traumatic

Condition Hierarchy (Ancestors)

Stress Disorders, TraumaticTrauma and Stressor Related DisordersMental Disorders

Study Officials

  • Amy S Garrett, PhD

    The University of Texas Health Science Center at San Antonio

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Amy S Garrett, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Open label single group design
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

February 3, 2026

First Posted

February 10, 2026

Study Start (Estimated)

May 9, 2026

Primary Completion (Estimated)

June 1, 2027

Study Completion (Estimated)

August 31, 2027

Last Updated

May 6, 2026

Record last verified: 2026-02

Locations